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血清阴性免疫介导性坏死性肌病并发暴发性心肌炎导致心源性休克和心脏骤停。

Seronegative immune-mediated necrotising myopathy complicated by fulminant myocarditis resulting in cardiogenic shock and cardiac arrest.

机构信息

Internal Medicine, The University of Texas Southwestern Medical Center, Dallas, Texas, USA.

Internal Medicine, The University of Texas Southwestern Medical Center, Dallas, Texas, USA

出版信息

BMJ Case Rep. 2022 Apr 4;15(4):e248535. doi: 10.1136/bcr-2021-248535.

DOI:10.1136/bcr-2021-248535
PMID:35379682
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8981287/
Abstract

A woman in her late 30s recently diagnosed with viral myopericarditis presented with 1 month of worsening fatigue, diffuse myalgias and chest pain radiating to her back. While undergoing work-up for chest wall myositis, she rapidly decompensated, developing heart failure and acute hypoxaemic respiratory failure. Her clinical course was complicated by cardiac arrest and severe cardiogenic shock requiring intra-aortic balloon pump support.

摘要

一位最近被诊断患有病毒性心肌炎的 30 多岁女性出现了 1 个月的进行性疲劳、全身肌肉疼痛和胸痛放射至背部。在进行胸壁肌炎检查时,她迅速恶化,出现心力衰竭和急性低氧性呼吸衰竭。她的临床病程复杂,包括心脏骤停和严重的心源性休克,需要主动脉内球囊泵支持。

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本文引用的文献

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Immune-mediated necrotizing myopathy: clinical features and pathogenesis.免疫介导性坏死性肌病:临床特征和发病机制。
Nat Rev Rheumatol. 2020 Dec;16(12):689-701. doi: 10.1038/s41584-020-00515-9. Epub 2020 Oct 22.
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Immune-Mediated Necrotizing Myopathy.免疫介导性坏死性肌病。
Curr Rheumatol Rep. 2018 Mar 26;20(4):21. doi: 10.1007/s11926-018-0732-6.
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The EuroMyositis registry: an international collaborative tool to facilitate myositis research.欧洲肌炎注册库:一个促进肌炎研究的国际协作工具。
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Diagnosis and management of myocardial involvement in systemic immune-mediated diseases: a position statement of the European Society of Cardiology Working Group on Myocardial and Pericardial Disease.系统性免疫介导疾病中心肌受累的诊断与管理:欧洲心脏病学会心肌与心包疾病工作组的立场声明
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Value of MRI in diagnostics and evaluation of myositis.磁共振成像在肌炎诊断和评估中的价值。
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6
Cardiac Abnormalities in Adult Patients With Polymyositis or Dermatomyositis as Assessed by Noninvasive Modalities.采用非侵入性检查方法评估成人多肌炎或皮肌炎患者的心脏异常情况
Arthritis Care Res (Hoboken). 2016 Jul;68(7):1012-20. doi: 10.1002/acr.22772.
7
Risk of myocardial infarction and ischaemic stroke in adults with polymyositis and dermatomyositis: a general population-based study.成人多发性肌炎和皮肌炎患者心肌梗死和缺血性卒中的风险:一项基于普通人群的研究。
Rheumatology (Oxford). 2016 Mar;55(3):461-9. doi: 10.1093/rheumatology/kev336. Epub 2015 Sep 30.
8
Early diagnosis of cardiac involvement in idiopathic inflammatory myopathy by cardiac magnetic resonance tomography.心脏磁共振断层扫描对特发性炎性肌病心脏受累的早期诊断
J Neurol. 2015;262(4):949-56. doi: 10.1007/s00415-014-7623-1. Epub 2015 Feb 12.
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Left ventricular diastolic dysfunction in patients with dermatomyositis without clinically evident cardiovascular disease.无临床明显心血管疾病的皮肌炎患者的左心室舒张功能障碍
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10
Risk of subsequent coronary heart disease in patients hospitalized for immune-mediated diseases: a nationwide follow-up study from Sweden.因免疫介导性疾病住院患者后续发生冠心病的风险:来自瑞典的全国性随访研究。
PLoS One. 2012;7(3):e33442. doi: 10.1371/journal.pone.0033442. Epub 2012 Mar 16.